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Barely three months into the new year and we are happy to announce a monumental milestone reached - 150 million downloads.
\n\nThis achievement solidifies IntechOpen’s place as a pioneer in Open Access publishing and the home to some of the most relevant scientific research available through Open Access.
\n\nWe are so proud to have worked with so many bright minds throughout the years who have helped us spread knowledge through the power of Open Access and we look forward to continuing to support some of the greatest thinkers of our day.
\n\nThank you for making IntechOpen your place of learning, sharing, and discovery, and here’s to 150 million more!
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The UN Convention against Transnational Organized Crime was adopted in 2000 with the Protocol to Prevent, Suppress, and Punish Trafficking in Persons, especially Women and Children (hereinafter, the Trafficking Protocol). The significance of the protocol is that it includes labor exploitation and the removal of organs in addition to sexual exploitation in its definition of trafficking; under it, “trafficking in persons shall mean the recruitment, transportation, transfer, harbouring or receipt of persons, by means of the threat or use of force or other forms of coercion, of abduction, of fraud, of deception, of the abuse of power or of a position of vulnerability or of the giving or receiving of payments or benefits to achieve the consent of a person having control over another person, for the purpose of exploitation. Exploitation shall include, at a minimum, the exploitation of the prostitution of others or other forms of sexual exploitation, forced labor or services, slavery or practices similar to slavery, servitude, or the removal of organs”. Article 3 (a). Drafting process of the Trafficking Protocol was analyzed in detail in reference [1].
This global criminal activity is also known as “modern-day slavery” or the “contemporary form of slavery,” and a number of international organizations, national governments, and NGOs worldwide have attempted to address the problem and protect victims by formulating policies and developing programs. In particular, the United States has prioritized the issue since 2000, which was when the Trafficking Victims Protection Act of 2000 (hereinafter, the TVPA) P. L. No. 106-386.
In 2004, the U.S. government evaluated the Japanese government’s countermeasures and positioned Japan in Tier 2 in a “Watch List” in the Trafficking in Persons Report (hereinafter, the TIP report), published as part of the TVPA, stating, “the government of Japan does not fully comply with the minimum standards for the elimination of trafficking” [2]. It was only at the end of 2004 that the Japanese government formulated “Japan’s Action Plan of Measures to Combat Trafficking in Persons”. Five years later, in December 2009, the action plan was renewed, but it is still considered insufficient, and Japan’s placement remains Tier 2 in the TIP report as of 2011 [3]. Actually, the number of prosecuted traffickers and protected victims in Japan has been nowhere close to that in the U.S. and other countries positioned in Tier 1, especially those global-north countries which function to absorb trafficked victims, although it is assumed that there are as many victims in Japan as in those countries. The number of countries placed in Tier 1 is 32 out of 184 in the report published in 2011. It includes Australia, Austria, Belgium, Bosnia & Herzegovina, Canada, Colombia, Croatia, Denmark, Finland, France, Georgia, Germany, Ireland, Italy, South Korea, Lithuania, Luxembourg, Macedonia, Mauritius, Netherlands, New Zealand, Nigeria, Norway, Poland, Portugal, Slovak Republic, Slovenia, Spain, Sweden, Taiwan, United Kingdom, and the U. S.
Why is the Japanese government hesitant to take more constructive action against human trafficking? Are the current efforts the range of what the Japanese government can do? How do historical, cultural, and social aspects affect the current anti-trafficking efforts in Japan? This chapter will explore these questions focusing on discourses especially of trafficking and slavery in comparison with the situation in the U.S. and most of the global-north countries, which had adopted the institution of slavery and colonialism as a policy of prosperity in their own history.
Slavery has been one of the longest-lasting international concerns in history although Miers explains, “slavery was the last thing on the minds of politicians” upon the establishment of the United Nations [4]. Here, I would briefly look back at the history of international efforts in this arena, referred to in [1, 4-11]. The first international condemnation of slavery was the Declaration relative to the Universal Abolition of the Slave Trade, annexed to the Act adopted during the Congress of Vienna in 1815. The abolitionist movement began to stop the Atlantic slave trade and to free slaves in the colonies of European countries and in the U.S.
A definition of slavery first appeared in an international agreement, the League of Nations’ Slavery Convention, in 1926. Although it did not mention human trafficking for the purpose of prostitution as a form of slavery, specific agreements and conventions about human trafficking for the purpose of prostitution had already been established in 1904 and 1910, containing the term “white slave” in their titles; I will discuss these later in detail.
In 1956, the United Nations adopted the Supplementary Convention on the Abolition of Slavery, the Slave Trade, and Institutions and Practices Similar to Slavery, which expanded the definition of slavery to those acts having the same effects as slavery, such as debt bondage, serfdom, and exploitation of the labor of women and children. In addition, the International Labor Organization had tackled the issue from the perspective of forced labor, and framed an international standard, the Abolition of Forced Labor Convention, C105, in 1957. The United Nations Economic and Social Council appointed a Sub-Commission on Prevention of Discrimination and Protection of Minorities to report on the situation regarding slavery in countries that had ratified the 1956 Convention between then and 1974.
A common usage of the terminology of “modern-day slavery” seems to be related to the renaming of the Working Group on Slavery, established in 1975, under this sub-commission; it was renamed the Working Group on Contemporary Forms of Slavery in 1988. The working group no longer exists as of 2012. See, http:www.ohchr.org for the details.
Based on the report from the sub-commission of 1988, the Economic and Social Council recommends that the General Assembly “decides that, on the occasion of the fortieth anniversary of the adoption of the Convention for the Suppression of the Traffic in Persons and of the Exploitation of the Prostitution of Others, 2 December 1989, and the same date in following years, should be proclaimed the ‘World Day for the Abolition of Slavery in All its Forms’ ”[12].
In line with these actions, NGOs began to highlight human trafficking as “modern-day slavery.” For example, the Anti-Slavery International, a long-established organization tackling the slavery issue since its foundation in 1839 as the British and Foreign Anti-Slavery Society, has published several reports on modern-day slavery in countries including Brazil, Nepal, and the U.K., as Miers reviewed in her article titled “Contemporary Forms of Slavery” [13]. Also, the Asia Watch and the Women’s Rights Project, a division of Human Rights Watch, which was founded in 1978 as Helsinki Watch, published “A Modern Form of Slavery” a report on trafficking of Burmese women and girls into brothels in Thailand in 1993 [14]. These were early works helping force the world to pay attention to “modern-day slavery” and accelerate the global “abolition movement” in the later 1990s.
The phenomenon described as “human trafficking” has historically meant trafficking in women and girls for the purpose of sexual exploitation. Indeed, prior to the adoption of the Trafficking Protocol in 2000, the main international convention concerned with human trafficking dealt exclusively with traffic for the purposes of prostitution [1,4-11,15].
The first international instrument, in which the term “traffic” or “trafficking” is used, excepting for drugs or guns, is the 1904 International Agreement for the Suppression of the White Slave Traffic, which is followed by the 1910 International Convention for the Suppression of the White Slave Traffic. “White slavery” at that time was used as a sort of euphemism Whether or not the situation that victims experience is just an “analogy” or actual “slavery” might be controversial.
Tsunematsu accepts the view of the Committee of Fifteen of New York City that it was a Victor Hugo’s letter to Josephine Butler in 1870 that inaugurated the usage of “white slavery” limited to sexual exploitation or prostitution; the letter said that the enslavement of “black” women has been abolished in the U.S., but slavery against “white” women still existed in Europe [17]. On the other hand, Barry explains that the official usage of “white slavery” at the Paris conference in 1902, where representatives of several governments met to draft the 1904 agreement, was “initially meant to distinguish the practice from nineteenth-century black slavery”[18].
In the United Sates, the problem of “white slavery” drew interest from policy makers, journalists, and moral reformers as well as regular citizens during the Progressive Era (1900-1920), and at least fifteen plays and six movies about “white slavery” were produced in the early twentieth century [16]. The U.S. signed the 1904 international agreement in 1908 [19],and the Congress passed the Mann Act, or the White Slave Traffic Act, in 1910; this is the federal law that criminalized the transfer of women across state lines for immoral purposes.
We can see the beginning of the combined usage of the term “slave” and “traffic” among English speaking people here, at the beginning of the twentieth century. However, the Japanese government did not translate the term “white slave” literally into Japanese at that time; the Japanese government translated the 1904 agreement using two
For its part, “traffic” can be paraphrased as “buying and selling.” If I literally translate the Japanese translation of the 1904 agreement other way round into English, I get “the international agreement for suppression of buying and selling women in order to make them engage in “ugly work” (
Japan was one of the nations that sent women and girls overseas as prostitutes in the 1800s and early 1900s; they were called “kara” in kanji means a dynasty in China between the seventh and tenth century, and later means overseas in general in Japan. Mitchell Anne Hagerstrom describes as “Miss gone-overseas” in [
The international instruments used to deal with human trafficking have been strengthened in recent years, from the 1921 Convention for the Suppression of Traffic in Women and Children, the International Convention for the Suppression of the Traffic in Women of Full Age in 1933, the Convention for the Suppression of the Traffic in Persons and the Exploitation of the Prostitution of Others in 1949, and the Trafficking Protocol in 2000. After 1910, the Conventions do not employ “slave” or “slavery” in their titles. In the meantime, the Japanese term for human traffic or trafficking entered an unsettled period although jinshin baibai (buying and selling human beings, or flesh trade) had been the most popular term. The Japanese word, which means “slavery”, had been used as a translation for none of the above-mentioned Conventions.
Kathleen Barry, the author of “Female Sexual Slavery” [18] published in 1979, is known as having been in the forefront a global anti-trafficking movement since the1970s, standing on a radical feminist base. The book was translated into six languages, including Japanese; the Japanese one was published in 1984. Interestingly, the title of the translated book is “Sei no Shokuminchi”, which literally means “Sex Colonization” in Japanese, although Tanaka, who translated the book, states in the post face that she has decided to adopt the term Dorei Sei, meaning “slavery” in Japanese, in the translation See p.321for the Japanese translation of the reference [18].
This could reflect a unique feature of the Japanese anti-trafficking movement. The “slavery” might have a great impact on Western countries, especially those that had been involved in it as perpetrators, in that the term stimulates people’s guilty feelings, and makes them feel they need to work on it. In that sense, Tanaka might well think that “colonization” was a more suitable term for Japanese people than “slavery”; at the begging of the 1980s, Japanese women’s group had highlighted a problem since the 1970s that many Japanese men traveled to Asian countries, such as Korea, Taiwan, the Philippines, and Thailand, to buy women and girls for sex; this was called “sexual invasion” by the Japanese women’s activists [22].
Japanese women’s movement against sex tourism among Japanese men was founded in 1974, following to the Korean Christian women’s movement against the increase of Japanese male tourists to buy sex in South Korea in 1973. A column in “Asian Women’s Liberation” in 1977 states, “a map of sex tourism of Japanese men had aggrandized from South Korea to South-East Asian countries, which happed to correspond with the past Japanese military invasion” [22]. It also explained, “sexual invasion is inextricably associated with Japanese economic invasion”[22]. The activist group sometimes used “sexual slavery” in their activities in relation to “comfort women” Regarding details of “comfort women”, which was a euphemism used to describe women who were brought by the Japanese military for the purpose of sex during WWII, see e.g. [23].
Currently human trafficking is commonly discussed and analyzed as a form of slavery, especially in Western countries, and these two terms are often used as though interchangeable [24]. As I explained earlier, Japan seems to be an exception, although foreign-based NGOs or branches of affiliated foreign-based organizations in Japan sometimes have utilized the “modern-day slavery” concept to explain human trafficking in their campaigns. For example, the Polaris Project Japan or the International Movement against All Forms of Discrimination and Racism Japan (IMADR-JC).
How can we explain the Japanese government’s indifference to ride the wave of global resistance to “modern-day slavery”? It is obvious that the Japanese government classified human trafficking under the “transnational threat” at least until 2004 as a parallel to illegal immigrants, not even to “transnational organized crime” [25]. The Trafficking Protocol was adopted under the rubric of transnational organized crime, and there are many criticisms of it because of its overt focus on criminal investigation and prosecution, and failure to protect the victims, as explained in [11]. Under that condition, policy-makers are willing to utilize “slavery” to appeal the necessity of protecting the victims in the U.S., and associate anti-trafficking effort with the history of fighting against slavery. However the term “slavery” does none in Japan to address the problem, nor formulate policies.
This section is a based on the summary of chapter 2 of the author’s doctoral dissertation, with great modification. See, reference [26].
Now, I would like to examine more in depth how people in the U.S. have employed the term “slavery” in the anti-trafficking movement, and what consequence it would have.
The sense of concern around the trafficking problem among policy-makers in the U.S. can be noted as far back as in 1993, when Asia Watch published a book reporting trafficking Burmese women and girls into brothels in Thailand. Representative Louise M. Slaughter, submitted the first resolution concerning a trafficking problem in Thailand to the House of Representatives in 1994. The title was “Expressing the sense of the Congress concerning the trafficking of Burmese women and girls into Thailand for the purpose of forced prostitution.” H. Con. Res. 254. All the resolutions and bills mentioned in this section can be accessed through THOMAS (Library of Congress) at http://thomas.loc.gov/ [2012/3/8]. H. Con. Res. 21: Expressing the sense of the Congress concerning the trafficking of Burmese women and girls into Thailand for the purpose of forced prostitution.
On March 10, 1998, commemorating International Women’s Day on March 8, Senator Paul Wellstone He was killed in a plane crash in 2002. For more about him, see http://www.wellstone.org/. H. Con. Res. 239: Expressing the sense of Congress concerning the worldwide trafficking of persons, that has a disproportionate impact on women and girls, and is condemned by the international community as a violation of fundamental human rights, and Con. Res. 82: A concurrent resolution expressing the sense of Congress concerning the worldwide trafficking of persons, that has a disproportionate impact on women and girls, and is condemned by the international community as a violation of fundamental human rights.
Policy-makers in the U.S. began to recognize that trafficking was a global problem which would affect the country not only in terms of perpetuating abuse of human rights, but also of benefiting international criminal organizations, which were said to “worldwide, four million women and children are trafficked each year, most by criminal syndicates that turn $7 billion in profits annually” Slaughter’s statement, see the Introduction of Resolution on The Worldwide Trafficking of Persons, A Violation of Fundamental Human Right, in the Congressional Records, proceedings and debates of the 105th congress, second session (Extensions of Remarks, Tuesday, March 10, 1998), p.3162. S.600: A bill to combat the crime of international trafficking and to protect the rights of victims, and the H.R. 1238: To combat the crime of international trafficking and to protect the rights of victims. H.R. 1356: To end international sexual trafficking, and for other purposes.
However, On October 27, 1999, Representative Gejdenson introduced H.R. 3154, the Comprehensive Anti-Trafficking in Persons Act of 1999, which recognizes that trafficking victims are forced into a range of slavery-like conditions. Finally, H.R. 3244, which merged the approaches of the past bills and drew from the strengths of each proposal, was introduced on November 8, 1999 [29]. H.R. 3244 became the original of TVPA, which was finally formulated as a public law in October 2000.
Interestingly, in the policy making process, not a few people tried to connect anti-trafficking efforts with the history of slavery in order to persuade the government to take active and immediate action. For example, Laura Lederer, the founder of the Protection Project at Harvard University’s John F. Kennedy School of Government, gave testimony at all the hearings on trafficking issues in the House and Senate during the 106th Congress. She illustrated an example of a trafficking case using Lydia’s story [30]. “Lydia” is fictional, but a “typical” victim of trafficking. She is 16 years old originally from one of the former Eastern Bloc countries. When she was hanging around with friends on the street, she was asked by a beautifully dressed woman if she would be interested in being a part-time model. The woman took her and her friends to dinner, brought them small gifts, and invited them to her home for a drink after dinner. They were drugged and trafficked into an unknown country to be sexually exploited.
Lederer outlined an atrocious situation for Lydia and her friends, and smoothly connected the story with historical “slavery”; now multiply Lydia’s story by hundreds of thousands, and a picture of the scope of the problem emerges. UNICEF is estimating that one million children are forced into prostitution in South East Asia alone, another one million worldwide-there are just children [….]. These numbers and the accompanying accounts illustrate that trafficking of women and children for purpose of prostitution has become a contemporary form of slavery. The number may soon be on par with the African slave trade of the 1700s. [30]
Bill Yeomans, the Chief of Staff of the Civil Rights Division of the U.S.Department of Justice as of April 2000, stated in one of the hearings, “While we discuss this problem using such terms as ‘trafficking’ and ‘forced labor’, we should make no mistake about it: we are talking about slavery, slavery in its modern manifestations.” [31]
TVPA was reauthorized four times, until 2012. The term “slavery” and the connection of the anti-trafficking effort to the “fight against slavery” in the U.S. history seems to be one of the most powerful and persuasive ways to promote the effort in the U.S. The short title of the reauthorized TVPA in 2008 is the ‘‘William Wilberforce Trafficking Victims Protection Reauthorization Act of 2008” P. L. 110-457.
In the U.S., the history of slavery as it is often imagined, especially among policy-makers, actually means the history of “fighting against slavery.” The important concept in the fight against slavery is “liberty” or “freedom”; abolitionists “freed” the slaves in the “land of liberty”, the United States of America. The freeing of the slaves becomes a symbol of the essence of the identity of the nation.
John Ashcroft, Attorney General from 2001 until 2005 under George W. Bush, states with reference to Thomas Jefferson’s work;
As the leading industrialized nation, founded on principles of freedom and justice, it is almost unbelievable that trafficking occurs here--however it does. The U.S. must take the lead and work to eradicate this terrible scourge (snip.). We must strive to see that every man, woman, and child be afforded the opportunity to live in a world of freedom. President Ronald Reagan, and other cold war warriors, fought diligently to see peace, democracy, and freedom throughout the world. We have achieved a small part of their vision, and the protection of women and children throughout the world who are tortured and de-humanized through international human trafficking is another step closer to that vision [31].
The TIP report published in 2008 started with a picture of the Statue of Liberty and a poem by Emma Lazarus, “The New Colossus”(1883) [32]. In the 2010 report, Ambassador Luis CdeBaca refers to the Constitution’s 13th Amendment, which officially outlaws slavery and involuntary servitude, and states, “we recognize that such absolute guarantees need to be constantly enforced lest they only be words on a page. So too in the international arena […]”.[33]
Hathaway criticizes the current anti-trafficking movement, saying that under the buzzword of the fight against slavery, it “has actually promoted a very partial perspective on the problem of modern slavery,” and “raises real human rights concerns,” with the power to negatively affect the refugee population in particular [11]. However, in the U.S., connecting trafficking with the history of slavery seems to be very important for perceptions that the effort is reasonable and legitimate. Specific feelings toward the term “slavery” contribute to unite people from different backgrounds, and transcend their conflicting interests. Taking assertive action is a method of symbolically tackling and overcoming the negative legacy of “slavery” as well as protecting the country’s national identity.
Next, I would like to analyze the Japanese situation. Historically, children from poor families in Japan sometimes experienced conditions which could be characterized as domestic trafficking during the postwar period, and even as late as the 1960s (see, Figure1). The war and the defeat created thousands of orphans, widows, and needy people in Japan, and they were sometimes domestically trafficked and exploited both sexually and for their labor.
Age of and types of work engaged in trafficking victims (January 1949 – December 1951) Source [
Following this increase in domestic trafficking, the government took notice, referring to the phenomenon as “so-called human trafficking” (iwayuru jinshin baibai), and tackling the issue from various aspects, although the focus was on children, and the core of the responsible governmental body was the central council for juvenile problems under the Cabinet [34]. However, focus of tackling the problem was gradually shifted to a female sexual exploitation case since the statistics had already showed that most of the victims were women who experienced sexual exploitation in 1952 [35]. An anti-prostitution movement also emerged, and influenced the shape of the “anti-trafficking” effort.
The Anti-Prostitution Act was promulgated in 1956, and “human trafficking,” meaning “sex trafficking of women and girls,” was considered to have been addressed; protests by prostitutes were never recognized as constituting a “labor movement,” and domestic trafficking for other types of exploitations became treated not as “trafficking,” but as “labor” issues [35].
Iwayuru jinshin baibai, seems to be considered beaten by 1970, following the Japan’s remarkable economic growth. Japanese activists came to focus on other problems, such as sex tourism, trafficking of Asian women into Japan, and exploited migrants who had overstayed their visas [35].
Unlike Americans, Japanese people are not usually conscious that they have a history of “slavery”. In fact, if I speak out without fear of being misunderstood, they are more conscious of the fact that Japan lost the war because of the failures of imperialism and colonialism. The unresolved “slavery” issue―both outside and inside the current borders of Japan―tends to be forgotten, which leads to persistent institutional discrimination against “foreign people” in Japan, especially against resident Korean and Chinese people who had been forced to emigrate, work, and live in Japan under Japanese imperialism, and against their children. This unresolved issue has been collared into various policy areas by the Japanese government, including international relations, immigration control, trafficking, and globalization Arguments with a doctoral student, Mr. O In Je, at Ritsumeikan University, also gave me the inspiration for this analysis.
Muto points out that Japan did not really face “decolonization” after the war because the Potsdam Declaration “automatically” determined the land area of Japan after the war. People did not have to experience the problems that arose in the decolonization process in, for example, the U.K. and France [36]. Muto states that in order to recover and develop, Japan placed itself in a structural and systematical mechanism which would protect it from the need to take responsibility for the decolonization process, making it an adjunct to U.S. hegemony [36]. This self-immunization process, however, of course also produced a new colonial structure in relation to the unsettled history of Japanese invasion and colonization. By and large, the Japanese people are innocently unconscious of their own lack of a decolonization process, which has been sponsored by their continued commitment to “peace” under Article 9 of the Japanese Constitution [36] Article 9. Aspiring sincerely to an international peace based on justice and order, the Japanese people forever renounce war as a sovereign right of the nation and the threat or use of force as means of settling international disputes. (2) To accomplish the aim of the preceding paragraph, land, sea, and air forces, as well as other war potential, will never be maintained. The right of belligerency of the state will not be recognized.
“The slavery” issue is undeniably a “colonization” issue in Japan. Given that the term “modern-day slavery” spurred people to act on human trafficking in the U.S., might the term “modern-day colonization” have the same effect on the Japanese?
With the above question in mind, I reviewed how “human trafficking,” especially international trafficking, has been treated among policy-makers by analyzing Diet proceedings and minutes of related committees since the 1970s [37]. As I mentioned earlier, the Japanese government categorized a trafficking issue as a “transnational threat” in December 2003, a year after signing the Trafficking Protocol in December 2002.
In the latter half of the 1980s, many non-Japanese people in Japan overstayed their visas, and it became a huge social issue; Japanese policy-makers at that time discussed trafficking issues as a part of illegal labor. Responding to the increase of foreign people overstaying their visas, the government also found the increase of crime committed by non-Japanese people; these were considered as a new type of “threat” to safe and peaceful Japan, and the government tightened immigration control. On the other hand, in order to meet a demand for cheap labor in the globalized market, including the sex industry, the government welcomed foreigners with Japanese ancestors, such as Japanese-Brazilians or Japanese-Peruvians, and continued to issue “entertainer visas” particularly for Filipinas, whom the TIP report criticized as being misused by traffickers[2]. These inconsistent strategies were followed until recently, under the concept of protecting safe and peaceful Japan The Ministerial Meeting Concerning Measures against Crime was established in 2003 aiming to restore Japan as “the safest country in the world”. See, http://www.kantei.go.jp/jp/singi/hanzai/ for the details (in Japanese).
“Modern-day colonization” would not function as well in Japan as “modern-day slavery” does in the U.S., since Japan has not faced a decolonization process. The tragic consequences of the war have made the Japanese people feel that “they are the victims of imperialism and colonialism as well.” August 15th was designated as “War Defeat Memorial Day” until 1982, but the name changed to “Day of Prayer for Peace and Mourning for the War Dead” in 1983. Asian Women’s Association referred to the report which contributed to this name change, and states, “the report, however, is solely devoted to the memory of the 3.1 million Japanese who were killed, completely ignoring the 18 to 20 million other Asians who were also victims of the same Greater East Asian War”. See, reference [39].
Then, what would be the key to motivating the Japanese government to move forward? In the analysis of the relevant Diet proceedings and committees minutes, I identified a possible answer; Japanese policy-makers use the phrase “Japan’s/Japanese shame in international society” to implement policies especially against abuses of human rights, including sex tourism, child prostitution, or child pornography [37].
Ruth Benedict classified Japanese culture as a “shame culture,” in contrast to Western “guilt culture” [40]. She explains, “true shame cultures relay on external sanctions for good behavior, not, as true guilt cultures do, on an internalized conviction of sin.” Although there have been some negative comments on her work, as the reference [41] reviews, “Japan’s shame” or “national dishonor” are often used within Japan to appeal to the necessity of implementing a policy or taking actions in arguments at least in the materials I analyzed. For example, regarding sex tourism in the 1970s, House of Representatives member Susumu Kobayashi asked a government official as follows [42];
At least, for the honor of Japan, I would like to ask your opinion whether or not the government would have a will to formulate policy to check or restrain this kind of shameful tour in order to save the Japanese name.
In 1978, House of Representatives member Itaro Baba picked up an advocacy ad to Japanese tour companies from a manager of Taiwanese tour company, asking rethorically “Do you know the word ‘shame’?” in his speech, and urged to take action for the Japanese government [43]; and House of Representatives member Takako Doi referred to the media coverage from ABC News in the U.S. in 1980, saying “so Japanese men have been no doubt the sex animals of Asia, welcomed by sex merchants not only in Bangkok but also in Taipei, Manila, Seoul, and now San Francisco,” and states, “it is the sincerest form of shame” [44].
In 1990, Minister of Justice, Shin Hasegawa, answered a question regarding a trafficking case of Thai women in Japan, “It is a very shameful case for Japan […], and we would like to deal with it as strictly as possible” [45]. In 1997, a member of the House of Councilors Sumiko Shimizu, who participated in the first World Congress against Commercial Sexual Exploitation of Children held in Stockholm in 1996, requested amendment of the Child Welfare Act, saying, “I went there as a representative of the government, but was very embarrassed since I was told that pornos of Japanese children are going around every corner of the world in spite of all the efforts and education in other nations” [46].
In November 2004, just before the Action Plan was formulated, Minister of State for Special Missions Hiroyuki Hosoda explained, “(human trafficking) has caught large attention from embassies in Tokyo as well; it is, so to say, an extremely shameful aspect of Japan, which has to be fixed” [47].
Was it because of this shame that Japan had to formulate a policy against human trafficking? In fact, it was only after the TIP report placed Japan on the Tier 2 Watch List that the government formulated the Action Plan, although it clearly states the very top of the current Action Plan that “trafficking in persons is a grave violation of human rights and requires a prompt and appropriate response from a humanitarian perspective, as trafficking in persons causes serious psychological and physical pain for the victims and recovery from such damage is very difficult” [48]. If “shame” is a driving force to promote some sort of governmental reaction to the problem, international sanction that “humiliate” the Japanese government, such as a low Tier ranking in the TIP report, might be the most powerful tool to motivate the Japanese government to move forward to some extent.
This chapter examined the background of the current Japanese anti-trafficking effort in comparison with those in the U.S.. While the U.S. connect human trafficking with the history of “slavery,” and make a strong claim with the term “modern-day slavery” that the issue needs to be addressed, Japan has not found a strong motivation to set a policy agenda on human trafficking, except avoiding “shame” or “national dishonor.”
However, peoples and cultures are no longer so rigid in this globalized society. The Japanese people have learned from their history and experiences, and changed their traditional reactions gradually. It is necessary to understand how history, national identity, and culture in society interconnect to current reactions to issues like human trafficking, and explore the unique meanings of these globalized phenomena to a society. Feeling shame at not having faced the decolonization process till now, Japan has to re-examine the essential nature of its national identity in order to consider how to pursue the goals of a safe and peaceful country in the global era; this might in turn lead to a more constructive anti-trafficking effort.
The basis of an electronic game is nothing more than a set of rules to be assimilated and through the repetition of their actions, the player can master the proposed challenges printed in the game mechanics and so advance through the stages, improving your skills, with the objective of winning the final challenge. According to Coelho and Nunes [1], in education, games have two functions: a playful and an educational one.
Playfulness refers to moments of leisure and fun, while education is portrayed through the acquisition of knowledge of the game content and understanding of the player’s world. Games also provide the development of social skills, attention, concentration, logical reasoning, and others. The Serious Games (or Serious Games) bring the proposal to evolve and expand the concept of Educational Games. With a focus on training and management applied through game mechanics, they aim to deal with issues relevant to society, with the aim of generating effects outside the virtual domains, adding value to the player’s individual knowledge in the real world.
The Serious Games (or Serious Games) bring the proposal to evolve and expand the concept of Educational Games. With a focus on training and management applied through game mechanics, they aim to deal with issues relevant to society, with the objective of generating effects outside the virtual domains, adding value to the player’s individual knowledge in the real world.
Due to this, initiatives such as Games for Health [2, 3] and Games for Change [4] emerged, linked to this end and which also contribute to a promising field in the field of research, Game Studies [5]. With the popularization of digital games and the aging of the generations that grew up playing this product from the entertainment industry, this market trend tends to increase more and more, according to Vasconcellos et al. [6]. It is noteworthy that the theme of Games and Health is relatively new in academic events, such as SBGames—Brazilian Symposium on Games and Digital Entertainment, which at the end of 2022 will reach its 21st edition. Since 2016, a Workshop has been held internally in the area of Health, which last year became an official track for the dissemination of research and the development of games in this area [7]. At an international level, we have the International Conference on Serious Games and Applications for Health—SEGAH, which has been in operation since 2012, is in its 10th edition, and is an event affiliated with the IEEE [8].
According to the document from the Brazilian Archives of Cardiology, by Gonzalez et al. [9], training in Basic Life Support (BLS) generates individual specific skills that can be forgotten in a short time. Due to the lack of opportunities to make use of the procedures, or even the absence of constant practices, this knowledge has an average expiration time of 3–6 months. Therefore, there is a real need to generate maintenance of this knowledge, through simplified training for laypeople, in order to increase the durability of the retention of this knowledge in people’s minds. The games can be used at any time, without an appointment, date, or place, just having a computer, a game console, or a mobile device and the willingness to practice. By applying game mechanics that have rules and that, in order to be mastered, need to be repeated in a dedicated way, the use of digital games helps in memorization, fixation, or recall of dormant knowledge. Thus, the union of learning BLS procedures with electronic games is a possibility to help spread this important knowledge, capable of saving many lives.
The motivation for this study comes from the interest of the author in games, together with the possibility of contributing to the research of the doctoral student in Nursing Maicon Nogueira [10], as there is a mutual interest in the union of these areas of research. Thus, this work aimed to analyze the production of academic publications related to health, focused on CPR in the last 5 years from the bases of SBGames, IEEE, Portal da Capes, and Google Academic, in order to identify and analyze the characteristics presented, to get an overview of what has been done in the area.
After this introduction, this chapter is structured where Section 2 brings the theoretical foundation of our objective and its relevance. Section 3 addresses the methodology used to compose this study with the selected articles chosen. Section 4 shows a variety of results that could help us to understand the extension of this theme and how others are approaching it, finally, Section 5 concludes this analysis followed by all the references used in this work.
According to Derryberry (2008), what separates serious games from the rest of games is the focus on a specific and intentional learning result to achieve serious, measurable, and continuous performance and behavior changes [11, 12]. The repertoire of computing strategies for medical education is becoming more comprehensive, with the introduction of virtual learning applications (e-learning), based on games, gamification, and via mobile devices. A variety of serious games is being used more often in health education, bearing in mind that health care students are young and technology-savvy. The increased interest in games is evidenced by the growing number of reports and systematic reviews on the use of games in education. According to Bergeron [13], Serious Games is understood as an interactive computer application, with or without a certain connected hardware component, which has a challenging objective, is fun to play, has some scoring concepts, and adds a skill to the user, knowledge or attitude that can be applied in the real world. Games are called serious when they have a pedagogical purpose [14].
Basic Life Support (BLS) consists of a set of steps and maneuvers performed sequentially, which include immediate assessment and intervention in each phase of Cardiopulmonary Resuscitation (CPR), identified as follows: C—circulation (evaluation of signs of circulation and performance chest compressions), A—airway opening (assessment and correct positioning of the airways), B—breathing (assessment of respiratory movements and performance of ventilation), and D—early defibrillation. These recommendations are based on the guidelines of the International Liaison Committee on Resuscitation (ILCOR) and the international scientific consensus of the American Heart Association (AHA) [10].
Carrying out systematic mapping of the literature, according to Kitchenham and Charters [15], requires the creation and completion of a protocol, which consists of detailed planning, which comes with the collection of all the necessary data to conduct the construction of the review. The steps to be performed are these:
Define research questions
Define search keywords
Define the sources (bases) to be consulted
Define the types of works that will be part of the research
Define work languages
Define the quality criteria for primary studies
Define the search string
Define inclusion and exclusion criteria
List included and excluded articles
Start the process of filling out the data extraction form, which will be carried out for each of the selected articles
Conduct analysis of results: grouping, comparing, and critically discussing related works
Define the existing indicators, metrics, criteria, and gaps
In addition to creating the protocol file, a tool to support the management of literature reviews was used. The chosen one was the national START (State of the Art through Systematic Review), authored by UFSCar/LAPES, in version 3.0.3 beta [16].
Following Kitchenham and Charters’s study [15], and in order to find material related to the proposed topic, the following research questions were created:
Q1: How have serious games been used to teach CPR protocols?
Q2: How effective are serious games in teaching CPR?
Q3: What is the state of the art of serious health-focused games for teaching CPR?
Q4: What platforms are used to experience the games?
To continue the research procedure and obtain the answers to the questions, the keywords listed below were defined:
Keyword | Synonym |
---|---|
Serious games | |
CPR | |
Resuscitation cardiopulmonary | Cardiopulmonary resuscitation |
BLS |
Based on these keywords, the following search string was defined at first: “serious games” OR “serious games” AND “RCP” OR “cardiopulmonary resuscitation” As the search return appeared to be too broad (187 items in the Google Scholar and 221 in Capes Journals), in addition to presenting several articles not related to the research interest, the string was redone.
The new string took the following form: (“serious games” OR “serious games”) AND (“RCP” OR “cardiopulmonary resuscitation” OR “Cardiopulmonary Resuscitation” OR “CPR”) AND (“SBV” OR “basic life support” OR “BLS” OR “Basic life support”), returning 110 items in Google Scholar.
On the Capes Journal Portal, the string had to be adapted, as it presented incompatibility with the previous format, obtaining the following form: (serious games) OR (serious games) AND CPR OR BLS OR ((Cardiopulmonary Resuscitation) AND (basic life support)), returning 176 items. After some observations in the listed articles, it was noticed that certain terms should be excluded from the string, as they have the same acronym of BSL and CPR, they were integrated in the search result.
Then, after a new adjustment to the string, this format was agreed to: (serious games) OR (serious games) AND CPR OR BLS OR ((Cardiopulmonary Resuscitation) AND (NOT (Common-Pool Resource)) AND (NOT (biomedical laboratory) science))), with the option to return only peer-reviewed journals, which resulted in 76 items.
The databases that returned in the search performed within the Capes Portal were PubMed, Scopus, Advanced Technologies & Aerospace Database, Directory of Open Access Journals—DOAJ, Web of Science, SpringerLink, Sage Journals, ERIC, and ACM Digital Library.
A private search was also performed in the IEEE database, which returned 21 items with the adapted string: (“All Metadata”: “serious games”) AND (“All Metadata”: “Cardiopulmonary Resuscitation”) OR (“All Metadata”: “CPR training”) OR (“All Metadata”: “basic life support”).
Finally, in the SBGames repository, which are the Annals of the Symposium, the search was performed manually, having found four items that included the chosen keywords. And this result was manually entered into START. BIBTEX files were also generated with the results of each search performed in the databases (Portal da Capes, Google Academic, and IEEE) to be inserted in an automated way in the support tool for the management of systematic literature reviews.
Searches were carried out between February and July 2021, through the academic registration valid on the CAPES portal and the mapping database, extracted during this period, and the final selection of chosen studies was systematized through MS Excel spreadsheet, which later also contributes to the elaboration of the graphs for this work. Also, during this period, learning the technique of Systematic Mapping was contemplated, through the subject of Scientific Methodology, which was administered by Professor Viviane Santos, collaborator of this work.
This item was also developed based on Kitchenham and Charters [15] with the formulation of the following definitions below, presented in Table 1:
Criteria | Results |
---|---|
Being within the time frame of the last 5 years (2016–2021) | IC-01 |
Belonging to the disciplines of nursing, computer science, and medicine (specifically on the Capes Portal) | IC-02 |
Contain relationship with cardiopulmonary resuscitation (CPR) | IC-03 |
Academic works in English and Brazilian Portuguese | IC-04 |
Be from the physical sports spectrum (games) | EC-01 |
Contain the term Common-Pool Resource or Cascaded Pose Regression (CPR) | EC-02 |
Contain biomedical laboratory science (BLS) | EC-03 |
Not be a gamified implementation (digital game) | EC-04 |
List of chosen criteria.
In order to exclude erroneous terms that would invalidate the search results within the consulted databases, this list of criteria was created. In particular, the terms Common-Pool Resource/Cascaded Pose Regression (CPR) and Biomedical Laboratory Science (BLS) were included because they have the same abbreviation as the terms Cardiopulmonary Resuscitation (CPR) and Basic Life Support (BLS), respectively.
To obtain the works that contained the object of study of interest to the researchers in this review, the criteria were as follows: (a) whether the study uses volunteers to test the software’s teaching efficiency; (b) whether the study is specifically about basic life support with a focus on CPR; and (c) if there are details on how the software was built, with information such as platform, the tool used, as well as additional hardware.
Two researchers from this study were delegated to do the peer review, in the final choice. In addition to the complete reading of the individual selected, the researchers discussed each article, with the aim of both being in agreement on the fulfillment of the established criteria.
Figure 1, which is the PRISMA flow above, shows all stages of the study selection process until reaching the definition of the chosen works, which were 35 and are listed in Table 2:
Chapter selection process (prepared by the authors).
Year of publication | Amount | Published works |
---|---|---|
2021 | 01 | A16—[17] “Comparative Effectiveness of Simulation versus Serious…” |
2020 | 10 | A07—[18] “Hands 2 Help: Educational “Serious Game” for teaching…” A08—[19] “Use of the serious game as an innovative educational strategy…” A11—[20] “Comparing Basic Life Support Serious Gaming Scores With…” A12—[21] “Developing a virtual simulation game for nursing…” A14—[22] “Precourse Preparation Using a Serious Smartphone Game on…” A19—[23] “A Pilot Study of CPR Quality Comparing an Augmented…” A20—[24] “Immersive Virtual Reality-Based Cardiopulmonary…” A22—[25] “Virtual Reality simulation technology for cardiopulmonary” A33—[26] “A Serious Game on the First-Aid Procedure in…” A34—[27] “Exploring User Needs in the Development…” |
2019 | 10 | A03—[28] “Proposal to build a serious game as an instrument for…” A05—[29] “Building a Health Game for Basic Life Support: Teaching…” A13—[30] “FASim: A 3D Serious Game for the First Aid Emergency” A15—[31] “Comparative evaluation of video-based online course versus…” A17—[32] “Virtual Reality Simulation Technology for Cardiopulmonary…” A21—[33] “Feasibility of an augmented reality cardiopulmonary…” A26—[34] “Holo-BLSD—A Holographic Tool” A29—[35] “Gamifying autonomous CPR training” A30—[36] “Comparing the effects on learning outcomes” A35—[37] “From experiencing to critical thinking: a contextual…” |
2018 | 03 | A04—[38] “Developing a Digital Game for Building First Aid Basics” A09—[39] “CPRforblind: A video game to introduce cardiopulmonary…” A31—[40] “Data analytics of mobile serious games” |
2017 | 05 | A06—[41] “Simulators for teaching cardiopulmonary resuscitation:…” A23—[42] “Affordable Hi-fidelity VR based CPR simulator” A24—[43] “Development and Evaluation of a Corrective” A28—[44] “A Serious Game For cardiopulmonary” A32—[45] “Designing an Engaging and Informative Application…” |
2016 | 06 | A01—[6] “Health in Academic Gaming Literature: an analysis…” A02—[46] “Serious Game developed in Health: Integrative Literature…” A10—[47] “Cardiopulmonary Resuscitation Training by Avatars:…” A18—[48] “Success factors for serious games to enhance learning:…” A25—[49] “Relieve A markless Assistant” A27—[50] “A Game Designed to Promote the Cardiopulmonary” |
Number of articles per publication year.
The process of filling out the protocol generated an extensive file, of more than 100 pages, the result of data collection carried out with the START tool [16], cataloging information such as title, abstract, authors, keywords, journal, year, publication link, and others comments. After the complete reading, the comprehension of the selected works is also included.
A synthesized document was built in Microsoft Excel to solidify the information of interest to this study, found in the reading of each article. These were the items: (1) if there is the identification of the application of artificial intelligence techniques (yes or no); (2) year of publication of the material; (3) platform used (PC, mobile devices, virtual or augmented reality glasses and other peripherals); (4) existence of volunteers in the study (yes or no); and (5) country that carried out the survey. There was space for extra information such as type of peripheral, manufacturer, and tool/language used to create the software.
Due to the use of a tool to support the management of systematic reviews (START), it was possible to obtain the word cloud graph according to the chosen studies, with a sampling of the words that were most present in the titles (Figure 2).
Cloud of words by the title of selected works.
In the following section of results and analysis, it is possible to check the graphs that were generated with this information. Out of curiosity, it is worth mentioning that among the excluded works, even with the generated search string, there were themes a little out of contexts, such as a study on fictions such as “Boys Love” [51] and collective consciousness [52].
When analyzing the relationship between the origin of publications and quantity, Figure 3 shows that most of the selected works are of European origin.
Number of publications by continent.
Another interesting observation is the representation by region, with 11 works from Europe (Denmark, Spain, Netherlands, England, Italy, Portugal, and Sweden), six in Asia (India, Japan, Pakistan, Thailand, and Taiwan), four in North America (Canada, United States), three in the Middle East (Iran and Turkey), two in Africa (South Africa and Algeria) and, finally, one work in Oceania (Australia), respectively. Brazil is the only representative of South America, with nine works highlighted.
In Figure 4, which shows the number of publications per year, it is possible to note that the years 2019 and 2020 were the most productive for the topic, with a total of 20 works, eight of which for mobile devices. Perhaps because studies on games are increasingly in evidence, accompanied by the popularization of smartphones, which favors and encourages the emergence of new applications. According to an annual study by the company NewZoo, released in May this year, the number of active users on this device specifically reached the amount of 3.8 billion around the world, with a growth of 6% compared to the previous year. And a 56% share of that audience is found in the Asia-Pacific region [53].
Number of publications per year.
It was possible to observe that in Figure 5, referring to the platforms used in the selected studies, there is almost a tie between the option of implementation on PC and on mobile devices (smartphones and tablets). One of the chances that the PC is among the most chosen is due to the convenience of generating builds in the default configuration of most game development tools. Mobile devices, on the other hand, follow slightly in the lead as they are the platform with the greatest ease of access among users, even game development tools do not offer build generation by default. And according to another study by NewZoo, the global gaming market is dominated by mobile devices, with 52% of revenue [54].
Platforms used in selected studies.
In third place, there are the Virtual Reality Glasses (VR), with nine studies, representing almost 21%. They appear to be gaining in popularity, particularly in the European, Asian, and North American regions. The models that appeared in this selection were HTC Vive [55], Rift Glasses, and Go Glasses [56]. There were also three studies with the MS HoloLens [57], which makes use of mixed reality. These are modern and very interesting technologies, but they have a high market value, increasing costs, and access for the vast majority of users.
Anyway, it’s worth opening a parenthesis here to detail VR devices, head-mounted displays (HMDs). The HTC Vive was used in the works A17—Canada [32] and A22—Italy [25]. Both also made use of complementary peripherals, the HTC Trackers [58], to improve the experiment’s effectiveness, as shown in Figure 6 below. Just like the Unity3D software [60] was chosen for the development of the applications.
HTC Vive Kit [
HTC Vive has a total of 70 sensors spread out in its set (glasses and controls), allowing the user to perform fluid and high-precision movements. However, for good functioning, the device needs to be calibrated for each new user, especially if there is a difference in height. It is classified as PC VR (tethered VR) as it is dependent on a rugged computer for its operation [61, 62]. It is still possible to expand the number of sensors, by inserting HTC Trackers in the set [58].
The model used in both studies (A17—Figure 7/A22—Figure 8) was the first version from 2016, which arose from a partnership between North American Valve and Taiwanese HTC. Currently, the manufacturer already has other models on the market, such as Vive Flow, Vive Pro, Vive Focus, and Vive Cosmos [55].
HTC vive kit and trackers used on study A17 [
Study A22 [
Following the details of the models found in the selection of studies, we have two variants of Facebook property: the Oculus Rift, which was used in study A23—India [42]; and the Oculus Go, in study A34—Australia [27]. The Rift model was the manufacturer’s debut product, having been launched in 2016. It is a tethered VR type, comes with a sensor called Constellation, which needs to be placed in front of the user to enable tracking of the position, both sitting and sitting foot. Optionally, it can be used together with two peripherals for inserting hands in the environment, called Oculus Touch. It also has native Xbox console controller support for Windows only [63]. In study A23, only the HMD was used, with no complementary accessories.
In contrast, the other model, the Oculus Go used in study A34, is classified as an all-in-one (standalone VR) type. It does not need a powerful computer to work, as it is self-sufficient: it contains all the hardware components required to work, without the need for additional accessories, such as the aforementioned trackers [62]. But it has hand controls (Oculus Go hand controllers) for handling menus and other interactions.
The Unreal Game Engine [64] was chosen for the development of the application in the A34 study, as it allows the use of textures, has editing capacity, great customization power, in addition to providing a final product with high visual and realistic quality [27]. According to Hillman (2019), the development environment in this software has support for the most important VR platforms, with a unified set of tools that uses consistent procedures for the interaction between components [65].
Finally, among the HMDs devices, we have the Microsoft HoloLens, having been used in three of the selected studies: A19 [23] and A21 [33], both of American origin (USA); and in the European A26—Italy [34]. This device was introduced to the market in March 2016. But it acts a little differently from its competitors, making use of augmented reality (AR), by projecting for the user through the glasses on the device, information, and 3D digital graphics, overlaid on the image viewed in the real world [57].
And here comes the concept of mixed reality (MxR). He appears to be somewhat confused at first, but Bekele (2021) presents a study that details the nuances between these definitions [66]. The HoloLens is also considered a wearable device, as it allows the user to use it as a complementary accessory: as smart glasses, being called Augmented Reality Smart Glasses (ARSGs) [67].
Studies A19 and A21 only mention the use of the device, without providing further details about its application. By contrast, study A26 details his experiment, serious game modeling, and application in detail. It is also the only one who mentions the tool used for development, which was Unity3D. A common detail for the three studies was the use of a mannequin to assist in immersing the simulation for the user.
Following the analysis of peripherals used in the selected studies, Microsoft’s motion sensor, Kinect [68], remains tied with Arduino, with two incidences each. Probably because of the difficulty of access and the cost involved. To use Kinect, you must have an Xbox 360 console [69] or an XOne. It is also possible to perform implementations on the PC, but it has the extra cost of acquiring the device [43, 49].
Arduino [59] is hardware with the characteristic of open source and low cost to implement. Provides great freedom for the developer. In the studies mentioned, it was used together with VR, mobile, and PC devices [24, 25].
The Nintendo Wii Balance Board [70] was used in one studies of Japanese origin. The implementation was in conjunction with MS Kinect and the PC [43]. And finally, the option without platform registration/citation, with six incidences.
Figure 9 clearly shows the number of studies that have the participation of volunteers in order to validate the experiment: 74% yes and 25% no. This was one of the criteria for selection of studies and identification of qualities, item (a) of Section 3.4 this work. Therefore, the importance of this criterion for validating the software developed for any study is noted.
Presence of volunteers in the study.
As listed in Section 3.4 (criteria for selection of studies and identification of qualities) of this chapter, three quality criteria were defined. The first refers to letter (a) if the study uses volunteers to test the efficiency of teaching the software. Figure 6 shown in the previous item brings this answer and 26 articles make use of this guideline. The second refers to letter (b) if the study is specifically about basic life support with a focus on CPR. Yes, the 35 selected studies deal specifically with this theme, and only five of them are indirect, presenting different approaches, but still, the CPR theme is present. The third refers to letter (c) if there are details on how the software was built, with information such as platform, the tool used, as well as additional hardware. Yes, these data were included, and it is possible to check the information generated in the figures and graphs in this article.
Another interesting information raised was that eight studies [22, 24, 25, 32, 34, 44, 45, 50] explained in their texts the use of the Unity3D game engine [60], a well-known tool as a game engine and quite popular among game developers.
There were also mentions of other technologies such as MS Visual Studio [43, 71] for programming in the C# language, the use of the Japanese RPG Maker VX game engine [37, 72], and the robust Unreal Game Engine [64], software owned by Epic Games.
Some articles presented simulators as a serious gaming resource. Define the difference between simulators and serious games, what is a simulator and what is a game. If it’s a simulator, is it considered a game too?
Other articles addressed the competition of learning using online videos and serious games, where the effectiveness was greater when using videos, but volunteers reinforced that learning with games was more interesting. But games are software that uses multimedia resources (audio, video, and images), there is even a genre that applies this resource in the game: the visual novels. The popularization of games focused on RCP, which is of this genre, would not be more interesting for the target audience? [73].
Twenty-nine (29) works mentioned the platform used. A tie-in incidences between the PC and mobile devices was registered. What will be the ideal platform to implement serious health games? Each platform has its own advantages and disadvantages, including in-game features and mechanics. Or would the focus be on reaching all of them? But the more cross-platform the game is, the higher production costs will be involved, which can make the creation of the software unfeasible.
It is worth mentioning that Pavkov et al. (2017) present a comparison between five game engines, aimed at the development of serious games. With the advantages and disadvantages of each, the study proposes a criterion in order to facilitate the choice of the tool by the future developer [74]. In contrast, Cowan and Kapralos (2017) argue that it is common for educators to need to hire well-skilled developers to assist in programming serious game projects [75]. The authors even recommend other game engines not identified here in this study, for those who aspire to develop games but lack programming knowledge.
Another interesting observation is that nine studies were registered that present games aimed at VR devices. It shows an interesting trend, but for developing countries with scarce financial resources for research (aka Brazil), unfortunately, this is a difficult trend to follow here. In addition to limiting the target audience too much, VR devices have a high market value compared to other platforms such as PC or smartphones, which makes production even more impossible.
On the other hand, studies that mentioned the use of Microsoft Kinect and Nintendo Balance Board devices (A24 and A25) may become meaningless, as both peripherals left the manufacturing line, no longer being marketed [76].
Conducting this systematic mapping raised some interesting points to be mentioned. One was to note that there is no academically validated research regarding existing commercial implementations of serious CPR-focused games. A quick search of game app stores such as Steam for PC and Google Play for Android mobile devices reveals a plethora of health-oriented games (Heath Games). Some even had great commercial success, with millions of units sold.
It is remarkable the fact that a commercial game has a greater appeal for playfulness/entertainment, dispensing with realistic educational rigor, with concepts to be worked on and solidified. But it is an undeniable fact that they are much more popular among the general consumer public, compared to serious games, mostly with academic backgrounds.
Another interesting perception for future works would be a literary, integrative, or systematic review focused on some of the platforms identified in the research, such as only mobile devices, only consoles, VR devices, or PC.
It was also possible to notice the need for curation of games available in digital stores. In order to get a guide or perhaps a list of health game recommendations. Not just with a commercial view, but with academic validation.
Finally, it was noted the need for more systematic reviews and mappings within the area, not only focused on CPR, but on other aspects that Health Games may have examples.
The selected works were of great value for the understanding of this study, of how a systematic mapping is developed, with all its detailed and careful process that must be carried out.
Next, the answers for each research question mentioned in item 3.1 follow:
Q1: How have serious games been used to teach CPR protocols? In carrying out this work, it was possible to verify that serious games have been used with different approaches, such as through PCs, mobile devices, and HDMs. Auxiliary peripherals (MS Kinect, Nintendo Balance Board, and Arduino) were also used to obtain better results for the user in immersing the simulations.
Q2: How effective are serious games in teaching CPR? In the 26 studies (74.3%) that used volunteers to validate the results, it was possible to notice that the use of games for learning generates engagement, providing a deepening in thinking (deep thinking), as can be seen in the reports of the consulted students to validate the A35 job, for example. Because games have the characteristic of playfulness, being “playing” to carry out the activity, in a virtual environment controlled by rules, the involvement in the activity to achieve the best result, undoubtedly generates an increase in interest among users. And the studies that used VR as the main device have the potential to be even more immersive, due to the characteristics of the device.
Q3: What is the state of the art of serious health-focused games for teaching CPR? It is believed that this work made a portion of contribution to the academic community in trying to potentially answer this question.
Q4: What platforms are used to experience the games? This detail can be seen in its entirety in item 4.
To improve this work, the evaluation criteria must be revised, listing weights for each one, in order to have numerical data to define the quality of the selected articles. Review some criteria and perhaps define further details between them. Also expand the number of databases searched, for those who know how to find more jobs in the South American region.
It was also possible to notice that the area of the Serious Games focused on health is relatively new when observing the age of the relevant events in the area: SBGames will complete 20 editions by the end of this year, but only 5 years ago it has a track dedicated to the theme; SEGAH is reaching its 9th edition. This fact opens up great possibilities for studies and research that have not yet been carried out, as the field is relatively new.
It was also possible to note that there is still a lot of room for research using new technologies, such as VR glasses, Microsoft Kinect, which have only one study each.
"Open access contributes to scientific excellence and integrity. It opens up research results to wider analysis. It allows research results to be reused for new discoveries. And it enables the multi-disciplinary research that is needed to solve global 21st century problems. Open access connects science with society. It allows the public to engage with research. To go behind the headlines. And look at the scientific evidence. And it enables policy makers to draw on innovative solutions to societal challenges".
\n\nCarlos Moedas, the European Commissioner for Research Science and Innovation at the STM Annual Frankfurt Conference, October 2016.
",metaTitle:"About Open Access",metaDescription:"Open access contributes to scientific excellence and integrity. It opens up research results to wider analysis. It allows research results to be reused for new discoveries. And it enables the multi-disciplinary research that is needed to solve global 21st century problems. Open access connects science with society. It allows the public to engage with research. To go behind the headlines. And look at the scientific evidence. And it enables policy makers to draw on innovative solutions to societal challenges.\n\nCarlos Moedas, the European Commissioner for Research Science and Innovation at the STM Annual Frankfurt Conference, October 2016.",metaKeywords:null,canonicalURL:"about-open-access",contentRaw:'[{"type":"htmlEditorComponent","content":"The Open Access publishing movement started in the early 2000s when academic leaders from around the world participated in the formation of the Budapest Initiative. They developed recommendations for an Open Access publishing process, “which has worked for the past decade to provide the public with unrestricted, free access to scholarly research—much of which is publicly funded. Making the research publicly available to everyone—free of charge and without most copyright and licensing restrictions—will accelerate scientific research efforts and allow authors to reach a larger number of readers” (reference: http://www.budapestopenaccessinitiative.org)
\\n\\nIntechOpen’s co-founders, both scientists themselves, created the company while undertaking research in robotics at Vienna University. Their goal was to spread research freely “for scientists, by scientists’ to the rest of the world via the Open Access publishing model. The company soon became a signatory of the Budapest Initiative, which currently has more than 1000 supporting organizations worldwide, ranging from universities to funders.
\\n\\nAt IntechOpen today, we are still as committed to working with organizations and people who care about scientific discovery, to putting the academic needs of the scientific community first, and to providing an Open Access environment where scientists can maximize their contribution to scientific advancement. By opening up access to the world’s scientific research articles and book chapters, we aim to facilitate greater opportunity for collaboration, scientific discovery and progress. We subscribe wholeheartedly to the Open Access definition:
\\n\\n“By “open access” to [peer-reviewed research literature], we mean its free availability on the public internet, permitting any users to read, download, copy, distribute, print, search, or link to the full texts of these articles, crawl them for indexing, pass them as data to software, or use them for any other lawful purpose, without financial, legal, or technical barriers other than those inseparable from gaining access to the internet itself. The only constraint on reproduction and distribution, and the only role for copyright in this domain, should be to give authors control over the integrity of their work and the right to be properly acknowledged and cited” (reference: http://www.budapestopenaccessinitiative.org)
\\n\\nOAI-PMH
\\n\\nAs a firm believer in the wider dissemination of knowledge, IntechOpen supports the Open Access Initiative Protocol for Metadata Harvesting (OAI-PMH Version 2.0). Read more
\\n\\nLicense
\\n\\nBook chapters published in edited volumes are distributed under the Creative Commons Attribution 3.0 Unported License (CC BY 3.0). IntechOpen upholds a very flexible Copyright Policy. There is no copyright transfer to the publisher and Authors retain exclusive copyright to their work. All Monographs/Compacts are distributed under the Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0). Read more
\\n\\nPeer Review Policies
\\n\\nAll scientific works are Peer Reviewed prior to publishing. Read more
\\n\\nOA Publishing Fees
\\n\\nThe Open Access publishing model employed by IntechOpen eliminates subscription charges and pay-per-view fees, enabling readers to access research at no cost. In order to sustain operations and keep our publications freely accessible we levy an Open Access Publishing Fee for manuscripts, which helps us cover the costs of editorial work and the production of books. Read more
\\n\\nDigital Archiving Policy
\\n\\nIntechOpen is committed to ensuring the long-term preservation and the availability of all scholarly research we publish. We employ a variety of means to enable us to deliver on our commitments to the scientific community. Apart from preservation by the Croatian National Library (for publications prior to April 18, 2018) and the British Library (for publications after April 18, 2018), our entire catalogue is preserved in the CLOCKSS archive.
\\n\\nOpen Science is transparent and accessible knowledge that is shared and developed through collaborative networks.
\\n\\nOpen Science is about increased rigour, accountability, and reproducibility for research. It is based on the principles of inclusion, fairness, equity, and sharing, and ultimately seeks to change the way research is done, who is involved and how it is valued. It aims to make research more open to participation, review/refutation, improvement and (re)use for the world to benefit.
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The Open Access publishing movement started in the early 2000s when academic leaders from around the world participated in the formation of the Budapest Initiative. They developed recommendations for an Open Access publishing process, “which has worked for the past decade to provide the public with unrestricted, free access to scholarly research—much of which is publicly funded. Making the research publicly available to everyone—free of charge and without most copyright and licensing restrictions—will accelerate scientific research efforts and allow authors to reach a larger number of readers” (reference: http://www.budapestopenaccessinitiative.org)
\n\nIntechOpen’s co-founders, both scientists themselves, created the company while undertaking research in robotics at Vienna University. Their goal was to spread research freely “for scientists, by scientists’ to the rest of the world via the Open Access publishing model. The company soon became a signatory of the Budapest Initiative, which currently has more than 1000 supporting organizations worldwide, ranging from universities to funders.
\n\nAt IntechOpen today, we are still as committed to working with organizations and people who care about scientific discovery, to putting the academic needs of the scientific community first, and to providing an Open Access environment where scientists can maximize their contribution to scientific advancement. By opening up access to the world’s scientific research articles and book chapters, we aim to facilitate greater opportunity for collaboration, scientific discovery and progress. We subscribe wholeheartedly to the Open Access definition:
\n\n“By “open access” to [peer-reviewed research literature], we mean its free availability on the public internet, permitting any users to read, download, copy, distribute, print, search, or link to the full texts of these articles, crawl them for indexing, pass them as data to software, or use them for any other lawful purpose, without financial, legal, or technical barriers other than those inseparable from gaining access to the internet itself. The only constraint on reproduction and distribution, and the only role for copyright in this domain, should be to give authors control over the integrity of their work and the right to be properly acknowledged and cited” (reference: http://www.budapestopenaccessinitiative.org)
\n\nOAI-PMH
\n\nAs a firm believer in the wider dissemination of knowledge, IntechOpen supports the Open Access Initiative Protocol for Metadata Harvesting (OAI-PMH Version 2.0). Read more
\n\nLicense
\n\nBook chapters published in edited volumes are distributed under the Creative Commons Attribution 3.0 Unported License (CC BY 3.0). IntechOpen upholds a very flexible Copyright Policy. There is no copyright transfer to the publisher and Authors retain exclusive copyright to their work. All Monographs/Compacts are distributed under the Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0). Read more
\n\nPeer Review Policies
\n\nAll scientific works are Peer Reviewed prior to publishing. Read more
\n\nOA Publishing Fees
\n\nThe Open Access publishing model employed by IntechOpen eliminates subscription charges and pay-per-view fees, enabling readers to access research at no cost. In order to sustain operations and keep our publications freely accessible we levy an Open Access Publishing Fee for manuscripts, which helps us cover the costs of editorial work and the production of books. Read more
\n\nDigital Archiving Policy
\n\nIntechOpen is committed to ensuring the long-term preservation and the availability of all scholarly research we publish. We employ a variety of means to enable us to deliver on our commitments to the scientific community. Apart from preservation by the Croatian National Library (for publications prior to April 18, 2018) and the British Library (for publications after April 18, 2018), our entire catalogue is preserved in the CLOCKSS archive.
\n\nOpen Science is transparent and accessible knowledge that is shared and developed through collaborative networks.
\n\nOpen Science is about increased rigour, accountability, and reproducibility for research. It is based on the principles of inclusion, fairness, equity, and sharing, and ultimately seeks to change the way research is done, who is involved and how it is valued. It aims to make research more open to participation, review/refutation, improvement and (re)use for the world to benefit.
\n\nOpen Science refers to doing traditional science with more transparency involved at various stages, for example by openly sharing code and data. It implies a growing set of practices - within different disciplines - aiming at:
\n\nWe aim at improving the quality and availability of scholarly communication by promoting and practicing:
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Marcos Soto-Hernández, Rosario García-Mateos, Rubén San Miguel-Chávez, Geoffrey Kite, Mariano Martínez-Vázquez and Ana C. Ramos-Valdivia",authors:[{id:"65790",title:"Prof.",name:"Marcos",middleName:null,surname:"Soto-Hernández",slug:"marcos-soto-hernandez",fullName:"Marcos Soto-Hernández"}]},{id:"61858",title:"Capsaicinoids and Vitamins in Hot Pepper and Their Role in Disease Therapy",slug:"capsaicinoids-and-vitamins-in-hot-pepper-and-their-role-in-disease-therapy",totalDownloads:1784,totalCrossrefCites:7,totalDimensionsCites:10,abstract:"Members of the genus Capsicum (Family: Solanaceae), which belongs to a dicotyledonous group of flowering plants, show fluctuating degrees of spiciness that mirror the relative concentrations of capsaicin, dihydrocapsaicin, and other analogs (nordihydrocapsaicin, homocapsaicin, and homodihydrocapsaicin) collectively known as capsaicinoids present in the fruit placenta. Pungent Chili varieties are grown for their food value, health-promoting properties and as a source of capsaicinoids that have a variety of medicinal uses. Accessions of the cultivated species (Capsicum annuum, C. baccatum, C. chinense, C. frutescens, and C. pubescens) have not all been analyzed for their capsaicinoids content. Identifying Capsicum species and accessions (genotypes) within species with high levels of antioxidants and bioactive compounds (capsaicin, dihydrocapsaicin, vitamin C, vitamin E, phenols, and β-carotene) that contribute to human disease therapy is the focus of this investigation. The main objectives of this chapter are to compile an overview of most recent achievements of the pharmacological properties of hot pepper compounds and provide a rationale for their use as analgesics and to present an evidence that supports the use of capsaicinoids in the treatment of neuropathic pain and other top leading death of worldwide human diseases.",book:{id:"6810",slug:"capsaicin-and-its-human-therapeutic-development",title:"Capsaicin and its Human Therapeutic Development",fullTitle:"Capsaicin and its Human Therapeutic Development"},signatures:"George F. Antonious",authors:[{id:"174916",title:"Dr.",name:"George",middleName:"Fouad",surname:"Antonious",slug:"george-antonious",fullName:"George Antonious"}]},{id:"62311",title:"CAP and Metabolic Diseases: A Mini Review on Preclinical Mechanisms and Clinical Efficacy",slug:"cap-and-metabolic-diseases-a-mini-review-on-preclinical-mechanisms-and-clinical-efficacy",totalDownloads:1347,totalCrossrefCites:2,totalDimensionsCites:3,abstract:"Capsaicin (CAP) is the chief active ingredient of natural chili peppers. It has culinary and medicinal benefits. CAP activates its receptor, transient receptor potential vanilloid subfamily 1 (TRPV1), which is expressed in the sensory and motor neurons, adipocytes, liver, vascular smooth muscle cells, neuromuscular junction, skeletal muscle, heart and brain. The specificity of CAP to activate TRPV1 is the fundamental mechanism for its medicinal benefits to treat pain, obesity, hypertension, and other diseases. Preclinical data from rodent model of high fat diet-induced obesity collectively suggest that CAP exerts its effects by activating TRPV1 signaling pathway, which stimulates thermogenic mechanisms in the white and brown adipose tissues to induce browning of white adipose tissues and brown adipose tissue thermogenesis. This leads to enhancement of metabolic activity and thermogenesis to counter obesity. Although CAP and its pungent and non-pungent analogs are used in human clinical studies, their effects on satiety and energy expenditure have been the highlights of such studies. The precise mechanism of action of CAP has not been evaluated in humans. This article summarizes these data and suggests that long-term safety and tolerance studies are important for advancing CAP to treat human obesity.",book:{id:"6810",slug:"capsaicin-and-its-human-therapeutic-development",title:"Capsaicin and its Human Therapeutic Development",fullTitle:"Capsaicin and its Human Therapeutic Development"},signatures:"Baskaran Thyagarajan, Vivek Krishnan and Padmamalini Baskaran",authors:null},{id:"61453",title:"A Matter of Taste: Capsaicinoid Diversity in Chile Peppers and the Importance to Human Food Preference",slug:"a-matter-of-taste-capsaicinoid-diversity-in-chile-peppers-and-the-importance-to-human-food-preferenc",totalDownloads:1301,totalCrossrefCites:0,totalDimensionsCites:1,abstract:"Chile peppers are valued worldwide for their distinct capsaicinoid compounds that have been used traditionally in medicine and culinary practices. With 32 known species, five of them domesticated, they provide unique chemical profiles, when consumed by humans. Capsaicinoids, the spicy compounds, are alkaloids used to deter herbivory in the wild, offering protection to the chile pepper fruit seeds. Among the 22 known capsaicinoid structures, capsaicin and dihydrocapsaicin are normally the most abundant. In humans, capsaicin binds to nociceptor TRPV1 that generates a heat sensation. Capsaicin also mitigates inflammation responses in the digestive tract and has the potential to aid in nutrient absorption. Distinct heat profiles were recently described for the five domesticated Capsicum species showing a difference in heat sensations specific to species and pod type. Due to the many capsaicinoid structures, we explore the implications and opportunities of having a diverse array of heat profiles in genetically diverse Capsicum species.",book:{id:"6810",slug:"capsaicin-and-its-human-therapeutic-development",title:"Capsaicin and its Human Therapeutic Development",fullTitle:"Capsaicin and its Human Therapeutic Development"},signatures:"Ivette Guzmán and Paul W. 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His research interests are focused on modern imaging methods used in medicine and pharmacy, including in particular hyperspectral imaging, dynamic thermovision analysis, high-resolution ultrasound, as well as other techniques such as EPR, NMR and hemispheric directional reflectance. Author of over 100 scientific works, patents and industrial designs. Expert of the Polish National Center for Research and Development, Member of the Investment Committee in the Bridge Alfa NCBiR program, expert of the Polish Ministry of Funds and Regional Policy, Polish Medical Research Agency. 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He completed a one-year Post-Doctoral Fellowship awarded by the DFAIT (Foreign Affairs and International Trade Canada) at the Institute of Biomedical Engineering of the University of New Brunswick (Canada) in 2010. Currently, he is Professor in the Faculty of Electrical Engineering (UFU). He has authored and co-authored more than 200 peer-reviewed publications in Biomedical Engineering. He has been a researcher of The National Council for Scientific and Technological Development (CNPq-Brazil) since 2009. He has served as an ad-hoc consultant for CNPq, CAPES (Coordination for the Improvement of Higher Education Personnel), FINEP (Brazilian Innovation Agency), and other funding bodies on several occasions. He was the Secretary of the Brazilian Society of Biomedical Engineering (SBEB) from 2015 to 2016, President of SBEB (2017-2018) and Vice-President of SBEB (2019-2020). He was the head of the undergraduate program in Biomedical Engineering of the Federal University of Uberlândia (2015 - June/2019) and the head of the Centre for Innovation and Technology Assessment in Health (NIATS/UFU) since 2010. He is the head of the Postgraduate Program in Biomedical Engineering (UFU, July/2019 - to date). He was the secretary of the Parkinson's Disease Association of Uberlândia (2018-2019). Dr. Andrade's primary area of research is focused towards getting information from the neuromuscular system to understand its strategies of organization, adaptation and controlling in the context of motor neuron diseases. His research interests include Biomedical Signal Processing and Modelling, Assistive Technology, Rehabilitation Engineering, Neuroengineering and Parkinson's Disease.",institutionString:null,institution:{name:"Federal University of Uberlândia",institutionURL:null,country:{name:"Brazil"}}},editorTwo:null,editorThree:null},{id:"9",title:"Biotechnology - Biosensors, Biomaterials and Tissue Engineering",coverUrl:"https://cdn.intechopen.com/series_topics/covers/9.jpg",isOpenForSubmission:!0,editor:{id:"126286",title:"Dr.",name:"Luis",middleName:"Jesús",surname:"Villarreal-Gómez",slug:"luis-villarreal-gomez",fullName:"Luis Villarreal-Gómez",profilePictureURL:"https://mts.intechopen.com/storage/users/126286/images/system/126286.jpg",biography:"Dr. Luis Villarreal is a research professor from the Facultad de Ciencias de la Ingeniería y Tecnología, Universidad Autónoma de Baja California, Tijuana, Baja California, México. Dr. Villarreal is the editor in chief and founder of the Revista de Ciencias Tecnológicas (RECIT) (https://recit.uabc.mx/) and is a member of several editorial and reviewer boards for numerous international journals. He has published more than thirty international papers and reviewed more than ninety-two manuscripts. 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For 20 years, he has studied the analysis and processing of biomedical images, emphasizing the full automation of measurement for a large inter-individual variability of patients. Dr. Koprowski has authored more than a hundred research papers with dozens in impact factor (IF) journals and has authored or co-authored six books. Additionally, he is the author of several national and international patents in the field of biomedical devices and imaging. Since 2011, he has been a reviewer of grants and projects (including EU projects) in biomedical engineering.",institutionString:null,institution:{name:"University of Silesia",institutionURL:null,country:{name:"Poland"}}}]},{type:"book",id:"7218",title:"OCT",subtitle:"Applications in Ophthalmology",coverURL:"https://cdn.intechopen.com/books/images_new/7218.jpg",slug:"oct-applications-in-ophthalmology",publishedDate:"September 19th 2018",editedByType:"Edited by",bookSignature:"Michele Lanza",hash:"e3a3430cdfd6999caccac933e4613885",volumeInSeries:2,fullTitle:"OCT - Applications in Ophthalmology",editors:[{id:"240088",title:"Prof.",name:"Michele",middleName:null,surname:"Lanza",slug:"michele-lanza",fullName:"Michele Lanza",profilePictureURL:"https://mts.intechopen.com/storage/users/240088/images/system/240088.png",biography:"Michele Lanza is Associate Professor of Ophthalmology at Università della Campania, Luigi Vanvitelli, Napoli, Italy. His fields of interest are anterior segment disease, keratoconus, glaucoma, corneal dystrophies, and cataracts. His research topics include\nintraocular lens power calculation, eye modification induced by refractive surgery, glaucoma progression, and validation of new diagnostic devices in ophthalmology. \nHe has published more than 100 papers in international and Italian scientific journals, more than 60 in journals with impact factors, and chapters in international and Italian books. He has also edited two international books and authored more than 150 communications or posters for the most important international and Italian ophthalmology conferences.",institutionString:'University of Campania "Luigi Vanvitelli"',institution:{name:'University of Campania "Luigi Vanvitelli"',institutionURL:null,country:{name:"Italy"}}}]},{type:"book",id:"7560",title:"Non-Invasive Diagnostic Methods",subtitle:"Image Processing",coverURL:"https://cdn.intechopen.com/books/images_new/7560.jpg",slug:"non-invasive-diagnostic-methods-image-processing",publishedDate:"December 19th 2018",editedByType:"Edited by",bookSignature:"Mariusz Marzec and Robert Koprowski",hash:"d92fd8cf5a90a47f2b8a310837a5600e",volumeInSeries:3,fullTitle:"Non-Invasive Diagnostic Methods - Image Processing",editors:[{id:"253468",title:"Dr.",name:"Mariusz",middleName:null,surname:"Marzec",slug:"mariusz-marzec",fullName:"Mariusz Marzec",profilePictureURL:"https://mts.intechopen.com/storage/users/253468/images/system/253468.png",biography:"An assistant professor at Department of Biomedical Computer Systems, at Institute of Computer Science, Silesian University in Katowice. Scientific interests: computer analysis and processing of images, biomedical images, databases and programming languages. 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After almost 32 years of teaching at the University of Trás-os-Montes and Alto Douro, she recently moved to the University of Évora, Department of Veterinary Medicine, where she teaches in the field of Animal Reproduction and Clinics. Her primary research areas include the molecular markers of the endometrial cycle and the embryo–maternal interaction, including oxidative stress and the reproductive physiology and disorders of sexual development, besides the molecular determinants of male and female fertility. She often supervises students preparing their master's or doctoral theses. She is also a frequent referee for various journals.",institutionString:null,institution:{name:"University of Évora",country:{name:"Portugal"}}},{id:"283019",title:"Dr.",name:"Oudessa",middleName:null,surname:"Kerro Dego",slug:"oudessa-kerro-dego",fullName:"Oudessa Kerro Dego",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/283019/images/system/283019.png",biography:"Dr. Kerro Dego is a veterinary microbiologist with training in veterinary medicine, microbiology, and anatomic pathology. Dr. Kerro Dego is an assistant professor of dairy health in the department of animal science, the University of Tennessee, Institute of Agriculture, Knoxville, Tennessee. He received his D.V.M. (1997), M.S. (2002), and Ph.D. (2008) degrees in Veterinary Medicine, Animal Pathology and Veterinary Microbiology from College of Veterinary Medicine, Addis Ababa University, Ethiopia; College of Veterinary Medicine, Utrecht University, the Netherlands and Western College of Veterinary Medicine, University of Saskatchewan, Canada respectively. He did his Postdoctoral training in microbial pathogenesis (2009 - 2015) in the Department of Animal Science, the University of Tennessee, Institute of Agriculture, Knoxville, Tennessee. Dr. Kerro Dego’s research focuses on the prevention and control of infectious diseases of farm animals, particularly mastitis, improving dairy food safety, and mitigation of antimicrobial resistance. Dr. Kerro Dego has extensive experience in studying the pathogenesis of bacterial infections, identification of virulence factors, and vaccine development and efficacy testing against major bacterial mastitis pathogens. Dr. Kerro Dego conducted numerous controlled experimental and field vaccine efficacy studies, vaccination, and evaluation of immunological responses in several species of animals, including rodents (mice) and large animals (bovine and ovine).",institutionString:"University of Tennessee at Knoxville",institution:{name:"University of Tennessee at Knoxville",country:{name:"United States of America"}}},{id:"251314",title:"Dr.",name:"Juan Carlos",middleName:null,surname:"Gardón Poggi",slug:"juan-carlos-gardon-poggi",fullName:"Juan Carlos Gardón Poggi",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/251314/images/system/251314.jpeg",biography:"Juan Carlos Gardón Poggi received University degree from the Faculty of Agrarian Science in Argentina, in 1983. Also he received Masters Degree and PhD from Córdoba University, Spain. He is currently a Professor at the Catholic University of Valencia San Vicente Mártir, at the Department of Medicine and Animal Surgery. He teaches diverse courses in the field of Animal Reproduction and he is the Director of the Veterinary Farm. He also participates in academic postgraduate activities at the Veterinary Faculty of Murcia University, Spain. His research areas include animal physiology, physiology and biotechnology of reproduction either in males or females, the study of gametes under in vitro conditions and the use of ultrasound as a complement to physiological studies and development of applied biotechnologies. Routinely, he supervises students preparing their doctoral, master thesis or final degree projects.",institutionString:null,institution:{name:"Valencia Catholic University Saint Vincent Martyr",country:{name:"Spain"}}},{id:"309529",title:"Dr.",name:"Albert",middleName:null,surname:"Rizvanov",slug:"albert-rizvanov",fullName:"Albert Rizvanov",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/309529/images/9189_n.jpg",biography:'Albert A. Rizvanov is a Professor and Director of the Center for Precision and Regenerative Medicine at the Institute of Fundamental Medicine and Biology, Kazan Federal University (KFU), Russia. He is the Head of the Center of Excellence “Regenerative Medicine” and Vice-Director of Strategic Academic Unit \\"Translational 7P Medicine\\". Albert completed his Ph.D. at the University of Nevada, Reno, USA and Dr.Sci. at KFU. He is a corresponding member of the Tatarstan Academy of Sciences, Russian Federation. Albert is an author of more than 300 peer-reviewed journal articles and 22 patents. He has supervised 11 Ph.D. and 2 Dr.Sci. dissertations. Albert is the Head of the Dissertation Committee on Biochemistry, Microbiology, and Genetics at KFU.\nORCID https://orcid.org/0000-0002-9427-5739\nWebsite https://kpfu.ru/Albert.Rizvanov?p_lang=2',institutionString:"Kazan Federal University",institution:{name:"Kazan Federal University",country:{name:"Russia"}}},{id:"210551",title:"Dr.",name:"Arbab",middleName:null,surname:"Sikandar",slug:"arbab-sikandar",fullName:"Arbab Sikandar",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/210551/images/system/210551.jpg",biography:"Dr. Arbab Sikandar, PhD, M. Phil, DVM was born on April 05, 1981. He is currently working at the College of Veterinary & Animal Sciences as an Assistant Professor. He previously worked as a lecturer at the same University. \nHe is a Member/Secretory of Ethics committee (No. CVAS-9377 dated 18-04-18), Member of the QEC committee CVAS, Jhang (Regr/Gen/69/873, dated 26-10-2017), Member, Board of studies of Department of Basic Sciences (No. CVAS. 2851 Dated. 12-04-13, and No. CVAS, 9024 dated 20/11/17), Member of Academic Committee, CVAS, Jhang (No. CVAS/2004, Dated, 25-08-12), Member of the technical committee (No. CVAS/ 4085, dated 20,03, 2010 till 2016).\n\nDr. Arbab Sikandar contributed in five days hands-on-training on Histopathology at the Department of Pathology, UVAS from 12-16 June 2017. He received a Certificate of appreciation for contributions for Popularization of Science and Technology in the Society on 17-11-15. He was the resource person in the lecture series- ‘scientific writing’ at the Department of Anatomy and Histology, UVAS, Lahore on 29th October 2015. He won a full fellowship as a principal candidate for the year 2015 in the field of Agriculture, EICA, Egypt with ref. to the Notification No. 12(11) ACS/Egypt/2014 from 10 July 2015 to 25th September 2015.; he received a grant of Rs. 55000/- as research incentives from Director, Advanced Studies and Research, UVAS, Lahore upon publications of research papers in IF Journals (DR/215, dated 19-5-2014.. He obtained his PhD by winning a HEC Pakistan indigenous Scholarship, ‘Ph.D. fellowship for 5000 scholars – Phase II’ (2av1-147), 17-6/HEC/HRD/IS-II/12, November 15, 2012. \n\nDr. Sikandar is a member of numerous societies: Registered Veterinary Medical Practitioner (life member) and Registered Veterinary Medical Faculty of Pakistan Veterinary Medical Council. The Registration code of PVMC is RVMP/4298 and RVMF/ 0102.; Life member of the University of Veterinary and Animal Sciences, Lahore, Alumni Association with S# 664, dated: 6-4-12. ; Member 'Vets Care Organization Pakistan” with Reference No. VCO-605-149, dated 05-04-06. :Member 'Vet Crescent” (Society of Animal Health and Production), UVAS, Lahore.",institutionString:"University of Veterinary & Animal Science",institution:{name:"University of Veterinary and Animal Sciences",country:{name:"Pakistan"}}},{id:"311663",title:"Dr.",name:"Prasanna",middleName:null,surname:"Pal",slug:"prasanna-pal",fullName:"Prasanna Pal",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/311663/images/13261_n.jpg",biography:null,institutionString:null,institution:{name:"National Dairy Research Institute",country:{name:"India"}}},{id:"202192",title:"Dr.",name:"Catrin",middleName:null,surname:"Rutland",slug:"catrin-rutland",fullName:"Catrin Rutland",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/202192/images/system/202192.png",biography:"Catrin Rutland is an Associate Professor of Anatomy and Developmental Genetics at the University of Nottingham, UK. She obtained a BSc from the University of Derby, England, a master’s degree from Technische Universität München, Germany, and a Ph.D. from the University of Nottingham. She undertook a post-doctoral research fellowship in the School of Medicine before accepting tenure in Veterinary Medicine and Science. Dr. Rutland also obtained an MMedSci (Medical Education) and a Postgraduate Certificate in Higher Education (PGCHE). She is the author of more than sixty peer-reviewed journal articles, twelve books/book chapters, and more than 100 research abstracts in cardiovascular biology and oncology. She is a board member of the European Association of Veterinary Anatomists, Fellow of the Anatomical Society, and Senior Fellow of the Higher Education Academy. Dr. Rutland has also written popular science books for the public. https://orcid.org/0000-0002-2009-4898. www.nottingham.ac.uk/vet/people/catrin.rutland",institutionString:null,institution:{name:"University of Nottingham",country:{name:"United Kingdom"}}},{id:"283315",title:"Prof.",name:"Samir",middleName:null,surname:"El-Gendy",slug:"samir-el-gendy",fullName:"Samir El-Gendy",position:null,profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRduYQAS/Profile_Picture_1606215849748",biography:"Samir El-Gendy is a Professor of anatomy and embryology at the faculty of veterinary medicine, Alexandria University, Egypt. Samir obtained his PhD in veterinary science in 2007 from the faculty of veterinary medicine, Alexandria University and has been a professor since 2017. Samir is an author on 24 articles at Scopus and 12 articles within local journals and 2 books/book chapters. His research focuses on applied anatomy, imaging techniques and computed tomography. Samir worked as a member of different local projects on E-learning and he is a board member of the African Association of Veterinary Anatomists and of anatomy societies and as an associated author at local and international journals. Orcid: https://orcid.org/0000-0002-6180-389X",institutionString:null,institution:{name:"Alexandria University",country:{name:"Egypt"}}},{id:"246149",title:"Dr.",name:"Valentina",middleName:null,surname:"Kubale",slug:"valentina-kubale",fullName:"Valentina Kubale",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/246149/images/system/246149.jpg",biography:"Valentina Kubale is Associate Professor of Veterinary Medicine at the Veterinary Faculty, University of Ljubljana, Slovenia. Since graduating from the Veterinary faculty she obtained her PhD in 2007, performed collaboration with the Department of Pharmacology, University of Copenhagen, Denmark. She continued as a post-doctoral fellow at the University of Copenhagen with a Lundbeck foundation fellowship. She is the editor of three books and author/coauthor of 23 articles in peer-reviewed scientific journals, 16 book chapters, and 68 communications at scientific congresses. Since 2008 she has been the Editor Assistant for the Slovenian Veterinary Research journal. She is a member of Slovenian Biochemical Society, The Endocrine Society, European Association of Veterinary Anatomists and Society for Laboratory Animals, where she is board member.",institutionString:"University of Ljubljana",institution:{name:"University of Ljubljana",country:{name:"Slovenia"}}},{id:"258334",title:"Dr.",name:"Carlos Eduardo",middleName:null,surname:"Fonseca-Alves",slug:"carlos-eduardo-fonseca-alves",fullName:"Carlos Eduardo Fonseca-Alves",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/258334/images/system/258334.jpg",biography:"Dr. Fonseca-Alves earned his DVM from Federal University of Goias – UFG in 2008. He completed an internship in small animal internal medicine at UPIS university in 2011, earned his MSc in 2013 and PhD in 2015 both in Veterinary Medicine at Sao Paulo State University – UNESP. Dr. Fonseca-Alves currently serves as an Assistant Professor at Paulista University – UNIP teaching small animal internal medicine.",institutionString:null,institution:{name:"Universidade Paulista",country:{name:"Brazil"}}},{id:"245306",title:"Dr.",name:"María Luz",middleName:null,surname:"Garcia Pardo",slug:"maria-luz-garcia-pardo",fullName:"María Luz Garcia Pardo",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/245306/images/system/245306.png",biography:"María de la Luz García Pardo is an agricultural engineer from Universitat Politècnica de València, Spain. She has a Ph.D. in Animal Genetics. Currently, she is a lecturer at the Agrofood Technology Department of Miguel Hernández University, Spain. Her research is focused on genetics and reproduction in rabbits. The major goal of her research is the genetics of litter size through novel methods such as selection by the environmental sensibility of litter size, with forays into the field of animal welfare by analysing the impact on the susceptibility to diseases and stress of the does. Details of her publications can be found at https://orcid.org/0000-0001-9504-8290.",institutionString:null,institution:{name:"Miguel Hernandez University",country:{name:"Spain"}}},{id:"350704",title:"M.Sc.",name:"Camila",middleName:"Silva Costa",surname:"Ferreira",slug:"camila-ferreira",fullName:"Camila Ferreira",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/350704/images/17280_n.jpg",biography:"Graduated in Veterinary Medicine at the Fluminense Federal University, specialist in Equine Reproduction at the Brazilian Veterinary Institute (IBVET) and Master in Clinical Veterinary Medicine and Animal Reproduction at the Fluminense Federal University. She has experience in analyzing zootechnical indices in dairy cattle and organizing events related to Veterinary Medicine through extension grants. I have experience in the field of diagnostic imaging and animal reproduction in veterinary medicine through monitoring and scientific initiation scholarships. I worked at the Equus Central Reproduction Equine located in Santo Antônio de Jesus – BA in the 2016/2017 breeding season. I am currently a doctoral student with a scholarship from CAPES of the Postgraduate Program in Veterinary Medicine (Pathology and Clinical Sciences) at the Federal Rural University of Rio de Janeiro (UFRRJ) with a research project with an emphasis on equine endometritis.",institutionString:null,institution:null},{id:"41319",title:"Prof.",name:"Lung-Kwang",middleName:null,surname:"Pan",slug:"lung-kwang-pan",fullName:"Lung-Kwang Pan",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/41319/images/84_n.jpg",biography:null,institutionString:null,institution:null},{id:"125292",title:"Dr.",name:"Katy",middleName:null,surname:"Satué Ambrojo",slug:"katy-satue-ambrojo",fullName:"Katy Satué Ambrojo",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/125292/images/system/125292.jpeg",biography:"Katy Satué Ambrojo received her Veterinary Medicine degree, Master degree in Equine Technology and doctorate in Veterinary Medicine from the Faculty of Veterinary, CEU-Cardenal Herrera University in Valencia, Spain.Dr. Satué is accredited as a Private University Doctor Professor, Doctor Assistant, and Contracted Doctor by AVAP (Agència Valenciana d'Avaluació i Prospectiva) and currently, as a full professor by ANECA (since January 2022). To date, Katy has taught 22 years in the Department of Animal Medicine and Surgery at the CEU-Cardenal Herrera University in undergraduate courses in Veterinary Medicine (General Pathology, integrated into the Applied Basis of Veterinary Medicine module of the 2nd year, Clinical Equine I of 3rd year, and Equine Clinic II of 4th year). Dr. Satué research activity is in the field of Endocrinology, Hematology, Biochemistry, and Immunology in the Spanish Purebred mare. She has directed 5 Doctoral Theses and 5 Diplomas of Advanced Studies, and participated in 11 research projects as a collaborating researcher. She has written 2 books and 14 book chapters in international publishers related to the area, and 68 scientific publications in international journals. Dr. Satué has attended 63 congresses, participating with 132 communications in international congresses and 19 in national congresses related to the area. Dr. Satué is a scientific reviewer for various prestigious international journals such as Animals, American Journal of Obstetrics and Gynecology, Veterinary Clinical Pathology, Journal of Equine Veterinary Science, Reproduction in Domestic Animals, Research Veterinary Science, Brazilian Journal of Medical and Biological Research, Livestock Production Science and Theriogenology, among others. Since 2014 she has been responsible for the Clinical Analysis Laboratory of the CEU-Cardenal Herrera University Veterinary Clinical Hospital.",institutionString:null,institution:null},{id:"201721",title:"Dr.",name:"Beatrice",middleName:null,surname:"Funiciello",slug:"beatrice-funiciello",fullName:"Beatrice Funiciello",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/201721/images/11089_n.jpg",biography:"Graduated from the University of Milan in 2011, my post-graduate education included CertAVP modules mainly on equines (dermatology and internal medicine) and a few on small animal (dermatology and anaesthesia) at the University of Liverpool. After a general CertAVP (2015) I gained the designated Certificate in Veterinary Dermatology (2017) after taking the synoptic examination and then applied for the RCVS ADvanced Practitioner status. After that, I completed the Postgraduate Diploma in Veterinary Professional Studies at the University of Liverpool (2018). My main area of work is cross-species veterinary dermatology.",institutionString:null,institution:null},{id:"291226",title:"Dr.",name:"Monica",middleName:null,surname:"Cassel",slug:"monica-cassel",fullName:"Monica Cassel",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/291226/images/8232_n.jpg",biography:'Degree in Biological Sciences at the Federal University of Mato Grosso with scholarship for Scientific Initiation by FAPEMAT (2008/1) and CNPq (2008/2-2009/2): Project \\"Histological evidence of reproductive activity in lizards of the Manso region, Chapada dos Guimarães, Mato Grosso, Brazil\\". Master\\\'s degree in Ecology and Biodiversity Conservation at Federal University of Mato Grosso with a scholarship by CAPES/REUNI program: Project \\"Reproductive biology of Melanorivulus punctatus\\". PhD\\\'s degree in Science (Cell and Tissue Biology Area) \n at University of Sao Paulo with scholarship granted by FAPESP; Project \\"Development of morphofunctional changes in ovary of Astyanax altiparanae Garutti & Britski, 2000 (Teleostei, Characidae)\\". She has experience in Reproduction of vertebrates and Morphology, with emphasis in Cellular Biology and Histology. She is currently a teacher in the medium / technical level courses at IFMT-Alta Floresta, as well as in the Bachelor\\\'s degree in Animal Science and in the Bachelor\\\'s degree in Business.',institutionString:null,institution:null},{id:"442807",title:"Dr.",name:"Busani",middleName:null,surname:"Moyo",slug:"busani-moyo",fullName:"Busani Moyo",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Gwanda State University",country:{name:"Zimbabwe"}}},{id:"439435",title:"Dr.",name:"Feda S.",middleName:null,surname:"Aljaser",slug:"feda-s.-aljaser",fullName:"Feda S. Aljaser",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"King Saud University",country:{name:"Saudi Arabia"}}},{id:"423023",title:"Dr.",name:"Yosra",middleName:null,surname:"Soltan",slug:"yosra-soltan",fullName:"Yosra Soltan",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Alexandria University",country:{name:"Egypt"}}},{id:"349788",title:"Dr.",name:"Florencia Nery",middleName:null,surname:"Sompie",slug:"florencia-nery-sompie",fullName:"Florencia Nery Sompie",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Sam Ratulangi University",country:{name:"Indonesia"}}},{id:"428600",title:"MSc.",name:"Adriana",middleName:null,surname:"García-Alarcón",slug:"adriana-garcia-alarcon",fullName:"Adriana García-Alarcón",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"National Autonomous University of Mexico",country:{name:"Mexico"}}},{id:"428599",title:"MSc.",name:"Gabino",middleName:null,surname:"De La Rosa-Cruz",slug:"gabino-de-la-rosa-cruz",fullName:"Gabino De La Rosa-Cruz",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"National Autonomous University of Mexico",country:{name:"Mexico"}}},{id:"428601",title:"MSc.",name:"Juan Carlos",middleName:null,surname:"Campuzano-Caballero",slug:"juan-carlos-campuzano-caballero",fullName:"Juan Carlos Campuzano-Caballero",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"National Autonomous University of Mexico",country:{name:"Mexico"}}}]}},subseries:{item:{id:"95",type:"subseries",title:"Urban Planning and Environmental Management",keywords:"Circular Economy, Contingency Planning and Response to Disasters, Ecosystem Services, Integrated Urban Water Management, Nature-based Solutions, Sustainable Urban Development, Urban Green Spaces",scope:"